Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SSM HEALTH CARE OF WISCONSIN INC

NPI: 1285020552 · JANESVILLE, WI 53546 · Clinical Medical Laboratory · NPI assigned 04/13/2015

$1.03M
Total Medicaid Paid
42,063
Total Claims
37,999
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMINERATH, JOSEPH (SYSTEM DIR OF GOV REIMBURSEMENT)
Parent OrganizationSSM HEALTH ST MARYS HOSPITAL - JANESVILLE
NPI Enumeration Date04/13/2015

Related Entities

Other providers sharing the same authorized official: MINERATH, JOSEPH

ProviderCityStateTotal Paid
SSM HEALTH CARE OF WISCONSIN, INC. MADISON WI $14.70M
SSM HEALTH CARE OF WISCONSIN INC BARABOO WI $9.78M
SSM HEALTH CARE OF WISCONSIN, INC. JANESVILLE WI $8.37M
SSM HEALTH CARE OF WISCONSIN, INC MADISON WI $6.40M
RIPON MEDICAL CENTER INC RIPON WI $4.30M
AGNESIAN HEALTHCARE INC FOND DU LAC WI $2.25M
AGNESIAN HEALTHCARE INC FOND DU LAC WI $172K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,625 $145K
2019 3,604 $58K
2020 3,696 $178K
2021 7,972 $271K
2022 7,019 $229K
2023 4,282 $89K
2024 2,865 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 5,151 4,730 $433K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,145 4,816 $72K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,048 1,777 $58K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,011 1,747 $57K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 553 517 $54K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 507 466 $52K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 3,785 3,515 $30K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 261 245 $25K
80053 Comprehensive metabolic panel 1,854 1,645 $22K
87081 3,134 2,932 $19K
84443 Thyroid stimulating hormone (TSH) 923 871 $18K
80061 Lipid panel 1,103 1,062 $17K
87653 553 494 $16K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 664 520 $16K
88142 972 806 $16K
80050 General health panel 321 263 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,498 1,263 $12K
87210 2,349 2,061 $10K
85027 1,359 1,225 $10K
87631 85 72 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 205 196 $9K
81001 2,468 2,214 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 331 283 $8K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 239 214 $7K
80048 Basic metabolic panel (calcium, ionized) 610 553 $6K
80306 301 247 $4K
84439 297 279 $3K
81025 400 379 $3K
87086 Culture, bacterial; quantitative colony count, urine 332 305 $3K
87634 34 33 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 108 76 $2K
82043 200 194 $1K
85610 262 179 $1K
84702 55 41 $1K
82947 222 213 $1K
85652 333 284 $1K
86850 208 197 $1K
85018 258 248 $768.43
86900 203 190 $690.38
86901 202 190 $686.65
87077 82 66 $620.45
83690 49 49 $438.06
87070 59 53 $408.09
80076 40 36 $373.55
81003 94 91 $249.47
87205 62 52 $200.87
84550 33 27 $182.79
87186 15 15 $173.25
83735 19 13 $145.63
86140 19 17 $111.82
82565 21 14 $101.92
36415 Collection of venous blood by venipuncture 26 24 $0.00